INDICATIONS AND RESULTS OF PREVENTIVE MINIMALLY INVASIVE SURGICAL DECOMPRESSION IN INTRAPERITONEAL HYPERTENSION IN PATIENTS WITH STERILE PANCREATIC NECROSIS WITH CARDIAC AND PULMONARY COMORBIDITY

Resume. Intra-abdominal hypertension (IBH) in patients with sterile pancreatic necrosis (SP) leads to the formation of abdominal compartment syndrome (ACS) 6-8 96. The most vulnerable this regard are cardiac and pulmonary comorbidity (CLC). Difficulties predicting development ACS cases do not allow making a timely decision on surgical decompression, which delayed treatment associated high mortality. Objective: develop conduct clinical evaluation method for determining indications preventive minimally invasive decompression IBH SP comorbidity. Materials methods. Prospective cohort studies were performed 84 CLC, 40 main group 44 comparison group. Results discussion. I-II art. was formed 32 (80 %) patients, 34 (77 %). In 10 (29,4 from comparison, developed, while all 5 (5/22 - 22,7 first art., it possible diagnose vivo. Categorically, became verify only (5/12 41,6 type II IBH, however, 60 % (3 out 5) led developed allowed prevent (11 32) reduce number intraoperative complications by 43 %, variant operations reduced early postoperative 75 %. Conclusions. CLC mortality an increase intra-abdominal pressure more than 2 times, overall 5,5